GRECC Connect Site - Salt Lake City, UT
Randall W. Rupper, MD, MPH
Dr. Rupper is the Associate Director, Clinical, GRECC, Salt Lake City
VA Healthcare System, and Associate Professor (Clinical) of Internal Medicine,
School of Medicine, University of Utah.
His primary research involves evaluating and intervening in clinical systems
to improve the health and well-being of rural elderly patients and their
Tiffany Volden, MD
Dr. Volden is a Geri PACT provider in the Salt Lake City VA Healthcare
System and Assistant Professor (Clinical) of Internal Medicine in the Division
of Geriatrics at the School of Medicine, University of Utah. In addition to
providing primary care to geriatric Veterans, she also heads up the Geriatric
Assessment Clinic where multidisciplinary assessments of common geriatric
syndromes are provided.
Jenni-Lyn Ladutko, PharmD
Jenni-Lyn Ladutko is currently the clinical pharmacist for the
Geriatric PACT clinics, the Geriatric Assessment Clinic, and the Geriatric
Med-Psych Clinic at the Salt Lake VA Medical Center. Prior to supporting these clinics, she worked
with the Pain Service at the Salt Lake VA, where she also completed a pharmacy
Kathleen J. Hoenig, MS
Ms. Hoenig has worked with SLC GRECC for several years. She has
provided support for, among others: providing medication consultation for
recent hospital discharged Veteran patients and worked to deliver geriatric
education to primary care providers in rural locals. She also worked as a care
consultant for caregivers of rural Veterans living with dementia.
POC: 801-582-1565, ext. 4770, Kathleen.Hoenig@va.gov
The Salt Lake City VA GRECC Connects will leverage Clinical Video Telehealth (CVT) to close the quality gap and health disparities and limitation to health care specialists, and to improve quality of care for older rural Veterans. The emphasis of consultations will be on dementia care and polypharmacy. Primarily, consultations will be held via Video on Demand (VOD) with patients in their own homes. When necessary, consults will be conducted with patients at their local CBOCs.
Year one operation is busy setting up the necessary clinical services after which it will begin offering services in the Salt Lake City Catchment, including the St George CBOC. It is anticipated that GRECC Connect will outreach to Montana during the next phase to offer its dementia and polypharmacy services to rural Veterans receiving services in CBOCs.
· Salt Lake City VA GRECC Connect will consult with caregivers/patients via Video on Demand (VOD) when the appropriate criteria are met: caregiver/family/patient has email, computer, smartphone or other technology and the confidence to use these technologies.
· For those who have confidence in using technology, but do not have the needed equipment, a VA iPad will be issued.
· The CBOC telehealth technicians and CBOC providers and other staff members will play vital functions in the success of the GRECC services when consultation needs to be provided at a CBOC.
Veterans Caregiving for Others: Caregiving as a Factor in the Health of America's Military Veterans.
Manley NA, Hicken BL, Rupper RW.
Mil Med. 2018 Jun 13. doi: 10.1093/milmed/usy131. [Epub ahead of print]
Predicting Psychiatric Hospitalizations among Elderly Veterans with a History of Mental Health Disease.
Burningham Z, Leng J, Peters CB, Huynh T, Halwani A, Rupper R, Hicken B, Sauer BC.
EGEMS (Wash DC). 2018 May 17;6(1):7. doi: 10.5334/egems.207.
The Impact of a Change in the Price of VA Health Care on Utilization of VA and Medicare Services.
Nelson RE, Hicken B, Vanneman M, Liu CF, Rupper R.
Med Care. 2018 Jul;56(7):569-576. doi: 10.1097/MLR.0000000000000922.
Historical and Current Advances That Incorporate Competing Risk for Benefit and Mortality in Older Patients With Cancer.
Clin Ther. 2018 Apr;40(4):504-511. doi: 10.1016/j.clinthera.2018.03.005. Epub 2018 Mar 27.
“Veterans’ Cognitive Assessment and Management Program” (V-CAMP) which became a primary means of service delivery for rural Veterans with dementia, leveraging Clinical Video Telehealth (CVT)
“Proactive Telehealth Enhanced Collaborative Geriatric Care” (ProTEC) provided proactive dementia care and medication management services through CVT.
“MoCA: A Brief Assessment of Cognition: Educational Resource Video” developed and produced by the Rural Provider and Health Care Staff Training and Education Initiative (RPSTI) Program of the Salt Lake City Geriatric Research, Education, and Clinical Center (GRECC), and the Employee Education System (EES); funded by the Office of Rural Health (ORH.) Video link: https://bcove.video/2i3SrYq This video is listed in TMS for continuing education credits.
“Connecting Older Veterans (Especially Rural) to Community or Veteran Eligible Resources” (COVER to COVER or C2C) program creates a new access point for Veterans seeking VA and community services.
George E. Wahlen Department of Veterans Affairs Medical Center
500 Foothill Drive, Salt Lake City Utah 84148 (801)582-1565
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